| Employee Benefits |
Jan 2013 |
| Vision Benefits (VSP) |
Aug 2012 |
| HBD-12A (pdf) |
2010 |
| AFLAC - Basic Information (word) |
2011 |
| Medical Plans and Premiums |
2013 |
| Dental Claim Form (pdf) |
2010 |
| CalPERS 457 Plan Participant Change Authorization Form (pdf) |
Jan 2011 |
| Salary Reduction Agreement for 403b (word) |
Jan 2013 |
| How to Find a Doctor with PERS Choice, PERS Select, and PERS Care (word) |
2011 |
| Dental Plan Benefit Cost Summary (word) |
2013 |
| Family and Medical Leave Act (FMLA) Policy (word) |
2013 |
| Flexible Benefit Plan Participation Election Form (word) |
2013 |
| AFLAC - Direct Deposit Form (pdf) |
2011 |
| AFLAC - Dental Insurance (pdf) |
2011 |
| AFLAC - Personal Accident Indemnity Plan (pdf) |
2011 |
| AFLAC - Specified Health Event Protection (pdf) |
2011 |
| AFLAC - Personal Cancer Indemnity Insurance (pdf) |
2011 |
| Blue Shield of California Access +HMO Evidence of Coverage Booklet (pdf) |
2013 |
| Blue Shield of California NetValue HMO Evidence of Coverage Booklet (pdf) |
2013 |
| CCPN Primary Care Physicians (pdf) |
2012 |
| CCPN San Luis Obispo Specialists (pdf) |
2012 |
| Flexible Benefit Plan Participation Election Form (word) |
2013 |
| Health Plan Chooser |
2013 |
| Flexible Spending - Medical/Dependent Care Reimbursement |
2013 |
| Metlife Insurance Enrollment Form (pdf) |
2011 |
| Metlife Statement of Health (pdf) |
2011 |
| PERSChoice Evidence of Coverage Booklet (pdf) |
2013 |
| PERS Select Evidence of Coverage Booklet (pdf) |
2013 |
| Physicians Choice Medical Group of San Luis Obispo Physicians (pdf) |
2013 |